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20090055 Permit Pkg 040905 pF THFp~~' City of Yelm Permit No: BLD-09-0055-YL ~ .o ~ Community Development Department Issue Date: 04/0912009 d Building Division (Work must be started within 180 days) Phone: (360) 458-8407 Receipt No: 59463 LM Fax: (380) 458-3144 Applicant: Name: Yelm Property Development, LLC Phone: Address: City: State: Zip Property Information: Site Address: 18632 Greenleaf Avenue SE Assessor Parcel No. 84070008200 Subdivision : Willow Glenn III Lot: 82 Contractor Information: Name: Yelm Property Development, LLC Contact: Phone: Address: City: State: Zip: Contractor License No: YELMPDL00302 Expires: Business License: Project Information: Project: 16632 Greenleaf Avenue SE Description of Work: SFR Lot 82, Plan #1574 Sq. Ft. per floor: (1st) 836 (2nd) 738 (3rd) 0 Garage 403 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit 100-500k 1,363.41 993.75 369.66 5.6000 66.0100 $1,000 Building Plan Review 576.04 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 97.00 20.00 77.00 7.0000 11.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Q Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 W State Building Fee 4.50 4.50 0.00 0.0000 0.0000 o Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip Z Fire District Impact Fee 632.64 0.00 632.64 0.3200 1,977.0000 square foot Z ~ Sewer ERU 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU N TOTAL FEES: 512,081.05 Q Z / V ~ ~ •^ Applicant's Affadavit OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Final Inspection: ~ ~ Signature p~y~,yu ~Gt.~,~.v! Date ~ /~ Date: - By: Firm 04/05/lUV9 THU tf:~tl !'AX jbU4~tlJ144 icy Ot zeim ~~u ~y,rvv~~ vv. City of Yelm Permit Fees Schedule Community Development Department Permit No: BLD-09.0055-YL Building Division Phone: (380) 458-8407 "'y,fiyt ~ ; Fax: (380)458.3144 Applicant: Name: Yelm Property Development, LLC Address Project Information: Project: 16632 Greenleaf Avenue SE Description of Work: SFR Lot 82, Plan #1574 Site Address: 16832 Greenleaf Avenue SE Fees: Item Accl Code Building Permit 100•SOOk 032001-322-10-00 Building Plan Revlew 100 001-345-83-00 Mechanical Permit 032 001.322-10-00 Plumbing Permit 032 001-322-10-00 Sewer Inspection 805 412-343-80-00 W afar E R U 715 401-343.80-02 Water Meter (SFDj 712 401-343-80-01 State Building Fee 160001-386-00-00 Traffic Facilities Charge 420 120-345-85-00 Fire District Impact Fee 105 001-345.85-00 Sewer ERU 802 412-343-50-01 TOTAL FEES: CITY OF YELM 105 Yelm Ave. W Yelm, WA 98597 360-458-3244 ~~~~~WELVE THOUSAND EIGHTY ONE DOLLARS & 05 CENTS R[CE11/ED FROM YELM PROPERTY DEVELPMENT P.O. BOX 2950 YELM. WA 98597 l BLD-09-0055-YL APR 9 ; 009 ~~ ~ ~ ~' ~. ~.~'~' Phone: City: ~~ State: C~~ Assessor Parcel No. 84070008200 Zip Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 1,363.41 993.75 369.66 5.6000 66.0100 $1,000 576.04 0.00 0.00 0.0000 0.0000 7a 25 0.0o a_oo o.oooo a.ooo0 97.00 20.00 77.00 7.0000 11.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip 632 64 0.00 632.64 0.3200 1, 977.0000 square toot 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU $12,081.05 DATE REC. NO. 04/09/09 59463 BUDGETARY GRETCHEN RECEIPT No. 5463 AMOUNT !~E F rl'-1 12,081.05 CHECK 6300 ~~pfTHep~~ City of Yelm Permit Fees Schedule a 9~ Community Development Department Permit No: BLD-09-0055-YL a n+ Building Division Phone: (360) 458-8407 YELM Fax: (360) 458-3144 Applicant: Name: Yelm Property Development, LLC Phone: Address: City: State: Zip Project Information: Project: 16632 Greenleaf Avenue SE Description of Work: SFR Lot 82, Plan #1574 Site Address: 16632 Greenleaf Avenue SE Fees: Item Acct Code Building Permit 100-500k 032 001-322-10-00 Building Plan Review 100 001-345-83-00 Mechanical Permit 032 001-322-10-00 Plumbing Permit 032 001-322-10-00 Sewer Inspection 805 412-343-80-00 Water ERU 715 401-343-80-02 Water Meter (SFD) 712 401-343-80-01 State Building Fee 160 001-386-00-00 Traffic Facilities Charge 420 120-345-85-00 Fire District Impact Fee 105 001-345-85-00 Sewer ERU 802 412-343-50-01 TOTAL FEES: Assessor Parcel No. 84070008200 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 1,363 .41 993.75 369.66 5.6000 66.0100 $1,000 576 .04 0.00 0.00 0.0000 0.0000 78 .25 0.00 0.00 0.0000 0.0000 97. 00 20.00 77.00 7.0000 11.0000 Fixture 145. 00 0.00 145.00 145.0000 1.0000 ERU 1,500. 00 0.00 1,500.00 1,500.0000 1.0000 ERU 300. 00 300.00 0.00 0.0000 0.0000 4. 50 4.50 0.00 0.0000 0.0000 1,334. 21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip 632. 64 0.00 632.64 0.3200 1, 977.0000 square foot 6,050. 00 0.00 6,050.00 6,050.0000 1.0000 ERU $12,081. 05 FIL CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: ~~ 101 ~L ~ ~ Parcel #: Subdivision: ?~U ~>'~~~ GIt:7i~ 3 Lot #: 8L Zoning; ~~ ~ ~3( New Construction ^ Re-Mode{ 1 Re-Roof !Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project Description/Scope of Work: `31'=k Project Value: Building Area (sq. ft) 15` Floor ~.~ 2nd Floor 73 ~ Garage X03 Deck Basement Carport_ Patio # Bedrooms~.~ # Bathrooms~7r Heatin :GAS/OTHE j7or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? v tf yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: ~FLM P~POPFiC7~,I Ji~VCf..~PMF~ , LLC~ ADDRESS ujv~c ~~%Sc EMAIL CITY ~ ~' STATEw.~{ ZIP'~~~~ --) J TELEPHONE '~lS ~~ t -~ ~9 ARCHITECT/ENGINEER ~l tJ E L~ tii" LICENSE # ADDRESS ~ ! ~ E. ~ EMAIL CITY STATEia1:1 ZIP 'fib>Ci TELEPHONE =~~ G -E'f~~'~!• GENERAL CONTRACTOR 1 LtC TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above Information is correct and that the construction on, and the occupancy and the use of the above described property will be in accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. ~~~~~~ /8/09 Applicant's Sig re Date Owner / Contractor /Owner's Agent /Contractor's Agent (Please circle one.) All permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days 105 Yelm Avenue {rest (360) ~f38-3835 _ _~ l'U L3ox d79 (360) 458-3144 FA[ ~ ~ - }elm, {S'A 98597 ~ ~ ~ www.ci.yelrn.wa.us I ~,;~Y APR 0 b 1009 ~ "`jam ~~ f `Y'3 -~, 7 ~~+ t ..3~ ~ ---. ..y ~ ~ ~ ~ ~, ~ fg - ~© .~ ~~~ .-~~ '~ ~ ---- 1 D {{r ~~`;P ~~1 (~". s t I n 3 ! Pf '1 .n w~ l,~ .:~~ ,'~ P OV~D _~ ~ ~'. ~ FI L E YEL.M COMMUNITY SCHOOLS '~~ ~ C ~ S LOCAL RECEIPT DATE ' C' _20~ Received from ~K."y'ti ~' v ~V ~ r FOR ~ ~ ~~'~ ~~ ~' ` _ ~LQZJCS ~-I/~ ~~~k Y KJ~ l~C i~ NV DOLLARS ~~ ACCGUM GG0. ANGUKT GASH CHECK ;~~~~ ~ ~~ ti'F.LM ('OMMUNITV SCHOOLS ~.